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Case Reports in Cardiology
Volume 2017, Article ID 9734795, 4 pages
Case Report

Cryoablation for Ventricular Tachycardia Originating from Anterior Papillary Muscle of Left Ventricle Guided by Intracardiac Echocardiography

1Division of Pacing and Electrophysiology, Cardiovascular Center, Padeh-Poriya Hospital, Tiberias, Israel
2Davidai Arrhythmia Center, Heart Center, Sheba Medical Center, Tel Hashomer, Israel

Correspondence should be addressed to Ibrahim Marai; li.vog.htlaeh.airop@iarami

Received 14 January 2017; Accepted 27 February 2017; Published 20 April 2017

Academic Editor: Tayfun Sahin

Copyright © 2017 Ibrahim Marai et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Papillary muscles (PMs) were reported to be origin of ventricular arrhythmia (VA). Radiofrequency (RF) ablation was reported to be acutely effective in eliminating VA. However, the recurrence rate is high. Recently, cryoablation guided by intracardiac echocardiography, 3-dimensional mapping system, and image integration was introduced as alternative strategy for this challenging ablation. We present a case of ventricular tachycardia originating from anterior PM of left ventricle treated by cryoablation guided only by intracardiac echocardiography.